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DR. DANIEL W PETERSEN DDS
NPI 1497817191
Dentist - Oral and Maxillofacial Surgery in Redding, CA

Active since December 16, 2006PECOS Enrolled
316 KNOLLCREST DR, REDDING, CA 96002(530) 223-1811(530) 223-1813 Get Directions Write a Review

NPPES record last updated: December 5, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Daniel W Petersen Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DANIEL W PETERSEN DDS (NPI 1497817191) is an individual oral and maxillofacial surgery provider in Redding, California, licensed in California (57031) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497817191
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. DANIEL W PETERSENCredential: DDS
Location Address316 KNOLLCREST DRRedding, CA 96002-0104
Mailing Address316 Knollcrest DrRedding, CA 96002-0104 · (530) 223-1811 · Fax (530) 223-1813
Phone(530) 223-1811
Fax(530) 223-1813
Sole ProprietorYes
Enumeration DateDecember 16, 2006
Last NPPES UpdateDecember 5, 2014
✔ NPI 1497817191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in CA · 57031
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Also ListedDentistTaxonomy 122300000X · License 050824 (NY)
316 KNOLLCREST DR, Redding, CA 96002
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Daniel W Petersen Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96002 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

INGERSOLL KNOLLCREST OS DENTAL CORPORATION
Dentist (Oral and Maxillofacial Surgery)
316 KNOLLCREST DR
REDDING, CA 96002
Shasta County (919) 656-3004
FRANCISCO SUAREZ, DDS INC.
Dentist (Oral and Maxillofacial Surgery)
316 KNOLLCREST DR
REDDING, CA 96002
Shasta County (530) 223-1811
DANIEL PETERSEN DDS, INC.
Oral & Maxillofacial Surgery
316 KNOLLCREST DR
REDDING, CA 96002
Shasta County (530) 223-1811
DR. FRANCISCO E SUAREZ DDS
Dentist (Oral and Maxillofacial Surgery)
316 KNOLLCREST DR
REDDING, CA 96002
Shasta County (530) 223-1811
SHAUN BURLINGAME DDS, MD
Dentist (Oral and Maxillofacial Surgery)
316 KNOLLCREST DR
REDDING, CA 96002
Shasta County (530) 223-1811

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Daniel Petersen's NPI number?

The NPI number for Daniel Petersen is 1497817191. It was assigned to this individual provider in the NPPES registry on December 16, 2006.

Where is Daniel Petersen located?

Daniel Petersen practices at 316 Knollcrest Dr, Redding, CA 96002. The listed phone number is (530) 223-1811.

What is Daniel Petersen's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Daniel Petersen enrolled in Medicare?

Yes. Daniel Petersen is registered in the Medicare PECOS enrollment system.

What insurance does Daniel Petersen accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Daniel Petersen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Daniel Petersen was last updated on December 5, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.